Year :
2021
| Month :
June
| Volume :
15
| Issue :
6
| Page :
ZD08 - ZD10
Full Version
A Rare Case of a Radicular Dens Invaginatus Associated with an Inflammatory Periapical Cyst
Published: June 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/49324.15006
Helder Fernandesde Oliveira, BrunnoSantosde FreitasSilva, Rogerio Ribeiro Paiva, Carolina Cintra Gomes, OrlandoAguirre Guedes
1. Doctor, Department of Endodontics, University of Anápolis, Goias, Brazil.
2. Doctor, Department of Stomatologic Sciences, Federal University of Goiás, Goiânia, Goiás, Brazil.
3. Doctor, Department of Stomatologic Sciences, University of Anápolis, Goiás, Brazil.
4. Doctor, Department of Stomatologic Sciences, University of Anápolis, Goiás, Brazil.
5. Doctor, Department of Endodontics, University of Anápolis, Goiás, Brazil.
Correspondence Address :
Helder Fernandes de Oliveira,
Universitário de Anápolis, Av. Universitária Km 3,5, Bloco C-Sala 408, Cidade Universitária, CEP:75083-515., Anápolis, Goiás, Brazil.
E-mail: helfo22@gmail.com
Abstract
Radicular Dens Invaginatus (RDI) represent a rare form of dens invaginatus which develops in the root of the tooth after the crown development is completed that can sometimes cause complex pathological conditions that are difficult to diagnose. This case report describes a case of a RDI associated with an inflammatory periapical cyst. A 17-year-old female complained of mobility in tooth 22. The tooth showed gyroversion and colour change and no evidence of caries or root fracture. Axial slices and tridimensional reconstruction of the cone-beam computed tomography revealed the presence of a RDI on the distal surface of the root that extended from cervical to the apical third. The diagnostic hypothesis was symptomatic infectious apical periodontitis, and conventional root canal treatment was performed. Subsequently, it was opted for a complementary surgical approach, which involved an aspiration puncture bulletin with a collection of yellow-citrus liquid, periapical curettage, apicectomy, retro-preparation and retrofilling with Mineral Trioxide Aggregate (MTA). Histopathological examination revealed inflammatory periapical cyst. After 3-years, repair of the area was evident. Surgical management of this rare condition can be favourable for resolving endodontic infection related to this dental anomoly.
Keywords
Cone-beam computed tomography, Dens in dente, Palatogingival groove, Radicular cyst, Root canal treatment
10.7860/JCDR/2021/49324.15006
Date of Submission: Mar 07, 2021
Date of Peer Review: Apr 20, 2021
Date of Acceptance: Apr 29, 2021
Date of Publishing: Jun 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? NA
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Mar 09, 2021
• Manual Googling: Apr 29, 2021
• iThenticate Software: May 24, 2021 (7%)
ETYMOLOGY: Author Origin
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